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Mastrangelo M, Lizzi A, Pellegrini C, D’Andrea G, Esposito M, Maccarrone M, Fargnoli M. 401 Endocannabinoid pathway in Atopic Dermatitis: results from an in vitro pilot study. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.09.414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Galatolo M, Biagini R, D’Andrea G, Farruggio M, Carloni A, Iuzzolino G, Allegri D, Descovich C, Muratori R, Tarricone I. Psychiatric admission among migrants: a retrospective study in acute psychiatric ward in Bologna, Italy. Eur Psychiatry 2022. [PMCID: PMC9567905 DOI: 10.1192/j.eurpsy.2022.1400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
Numerous evidences point out how migrants use health services differently than the natives. Migrants turn more frequently to the ED for psychiatric problems and less to territorial psychiatric services than the native population. Other differences can be found in terms of diagnosis, type of discharge, type of hospitalization.
Objectives
Our study has the objective of evaluating the incidence of psychiatric hospitalizations of migrant patients compared to natives in a well-defined area of the metropolitan city of Bologna and evaluate the effect of the Covid 19 pandemic on the incidence of psychiatric hospitalizations among migrants and on their clinical characteristics.
Methods
The study conducted is of an observational and retrospective type on migrant and native patients admitted to the psychiatric unit “SPDC-Malpighi” of the DSM-DP of Bologna AUSL between 01/01/2018 and 31/12/2020.
Results
Migrants were more likely to be admitted via ED and less likely to be referred from a CMHC or from non-psychiatric hospital unit compared with natives. Most migrants were discharged at home while natives more frequently chose to self-discharge. With regard to diagnosis, migrants were more likely to be admitted due to a SSD, while natives were more likely to be diagnosed with a MD or SUD.
Conclusions
We confirm the presence of differences in access to care, type of discharge and type of diagnosis between migrants and natives. Further studies to investigate changes in pre and post Covid admissions in migrants would be needed.
Disclosure
No significant relationships.
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Tarricone I, Lal J, D’Andrea G, Muratori R, Morgan C, Berardi D, Murray R, Forti MD. Migration history, first episode psychosis and child abuse: Results from the EU-GEI study. Eur Psychiatry 2021. [PMCID: PMC9471498 DOI: 10.1192/j.eurpsy.2021.860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Introduction Child abuse is associated with a wide range of mental disease including psychotic disorders. Few studies have investigated the role of child abuse in contributing to increase the risk of psychosis in migrant population. Objectives To explore the risk of first episode psychosis (FEP) in migrants and natives for each type of trauma i.e. physical abuse (P.A.), sexual abuse (S.A.), emotional abuse (E.A.), physical neglect (P.N.) and emotional neglect (E.N.). Methods Within a large case- control incidence sample of FEP from the EU-GEI study (The EUropean Network of National Schizophrenia Networks Studying Gene–Environment Interactions) we evalued the assocition of childhood trauma with FEP in migrants and natives. Associations were adjusted for age, gender, social status, level of education, family history of psychosis and cannabis use. Trauma was assessed through Childhood Trauma Questionnaire (CTQ). Results CTQ mean score was higher in FEP migrants (45.4, sd 15.6) than in FEP natives (41.7, sd 13.9) (p = 0.002). In natives every type of child abuse was associated with FEP. In migrants P.A., S.A., P.N. were associated with FEP. We found a dose – dependent relationship between trauma and FEP. Conclusions Child abuse is common in individuals with psychosis. FEP migrants are more exposed to childhood trauma. Clinicians should routinely assess patients for childhood trauma. When treating a FEP migrant patient, clinicians must be aware of an underlying traumatic childhood adversity more than of a traumatic migration history.
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D’Andrea G, Cananzi A, Toldo M, Cortelazzo S, Ferro-Milone F. Platelet Behavior in Classic Migraine: Responsiveness to Small Doses of Aspirin. Thromb Haemost 2018. [DOI: 10.1055/s-0038-1657349] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- G D’Andrea
- Divisione di Neurologia, Ospedale Regionale “S. Bortolo”, 36100 Vicenza, Italy
| | - A Cananzi
- Divisione di Neurologia, Ospedale Regionale “S. Bortolo”, 36100 Vicenza, Italy
| | - M Toldo
- Divisione di Neurologia, Ospedale Regionale “S. Bortolo”, 36100 Vicenza, Italy
| | - S Cortelazzo
- e di Ematologia, Ospedale Regionale “S. Bortolo”, 36100 Vicenza, Italy
| | - F Ferro-Milone
- Divisione di Neurologia, Ospedale Regionale “S. Bortolo”, 36100 Vicenza, Italy
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Margaglione M, D’Andrea G, Cappucci G, Grandone E, Giuliani N, Colaizzo D, Vecchione G, Di Minno G. Detection of the Factor V Leiden Using SSCP. Thromb Haemost 2018. [DOI: 10.1055/s-0038-1650666] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- M Margaglione
- The Unit of Atherosclerosis and Thrombosis, IRCCS “Casa Sollievo della Sofferenza”, S. Giovanni Rotondo, and Instituteof Geriatrics, University of Palermo, Italy
| | - G D’Andrea
- The Unit of Atherosclerosis and Thrombosis, IRCCS “Casa Sollievo della Sofferenza”, S. Giovanni Rotondo, and Instituteof Geriatrics, University of Palermo, Italy
| | - G Cappucci
- The Unit of Atherosclerosis and Thrombosis, IRCCS “Casa Sollievo della Sofferenza”, S. Giovanni Rotondo, and Instituteof Geriatrics, University of Palermo, Italy
| | - E Grandone
- The Unit of Atherosclerosis and Thrombosis, IRCCS “Casa Sollievo della Sofferenza”, S. Giovanni Rotondo, and Instituteof Geriatrics, University of Palermo, Italy
| | - N Giuliani
- The Unit of Atherosclerosis and Thrombosis, IRCCS “Casa Sollievo della Sofferenza”, S. Giovanni Rotondo, and Instituteof Geriatrics, University of Palermo, Italy
| | - D Colaizzo
- The Unit of Atherosclerosis and Thrombosis, IRCCS “Casa Sollievo della Sofferenza”, S. Giovanni Rotondo, and Instituteof Geriatrics, University of Palermo, Italy
| | - G Vecchione
- The Unit of Atherosclerosis and Thrombosis, IRCCS “Casa Sollievo della Sofferenza”, S. Giovanni Rotondo, and Instituteof Geriatrics, University of Palermo, Italy
| | - G Di Minno
- The Unit of Atherosclerosis and Thrombosis, IRCCS “Casa Sollievo della Sofferenza”, S. Giovanni Rotondo, and Instituteof Geriatrics, University of Palermo, Italy
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Schram AM, Reales D, Galle J, Cambria R, Durany R, Feldman D, Sherman E, Rosenberg J, D’Andrea G, Baxi S, Janjigian Y, Tap W, Dickler M, Baselga J, Taylor BS, Chakravarty D, Gao J, Schultz N, Solit DB, Berger MF, Hyman DM. Oncologist use and perception of large panel next-generation tumor sequencing. Ann Oncol 2017; 28:2298-2304. [PMID: 28911072 PMCID: PMC5834089 DOI: 10.1093/annonc/mdx294] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Genomic profiling is increasingly incorporated into oncology research and the clinical care of cancer patients. We sought to determine physician perception and use of enterprise-scale clinical sequencing at our center, including whether testing changed management and the reasoning behind this decision-making. PATIENTS AND METHODS All physicians who consented patients to MSK-IMPACT, a next-generation hybridization capture assay, in tumor types where molecular profiling is not routinely performed were asked to complete a questionnaire for each patient. Physician determination of genomic 'actionability' was compared to an expertly curated knowledgebase of somatic variants. Reported management decisions were compared to chart review. RESULTS Responses were received from 146 physicians pertaining to 1932 patients diagnosed with 1 of 49 cancer types. Physicians indicated that sequencing altered management in 21% (331/1593) of patients in need of a treatment change. Among those in whom treatment was not altered, physicians indicated the presence of an actionable alteration in 55% (805/1474), however, only 45% (362/805) of these cases had a genomic variant annotated as actionable by expert curators. Further evaluation of these patients revealed that 66% (291/443) had a variant in a gene associated with biologic but not clinical evidence of actionability or a variant of unknown significance in a gene with at least one known actionable alteration. Of the cases annotated as actionable by experts, physicians identified an actionable alteration in 81% (362/445). In total, 13% (245/1932) of patients were enrolled to a genomically matched trial. CONCLUSION Although physician and expert assessment differed, clinicians demonstrate substantial awareness of the genes associated with potential actionability and report using this knowledge to inform management in one in five patients. CLINICAL TRIAL NUMBER NCT01775072.
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Affiliation(s)
- A. M. Schram
- Department of Medicine, Division of Solid Tumor Oncology
| | | | - J. Galle
- Clinical Research Administration
| | | | - R. Durany
- Josie Robertson Surgical Center, MSKCC, New York
| | - D. Feldman
- Department of Medicine, Division of Solid Tumor Oncology
- Weill Cornell Medical College, New York
| | - E. Sherman
- Department of Medicine, Division of Solid Tumor Oncology
- Weill Cornell Medical College, New York
| | - J. Rosenberg
- Department of Medicine, Division of Solid Tumor Oncology
- Weill Cornell Medical College, New York
| | - G. D’Andrea
- Department of Medicine, Division of Solid Tumor Oncology
- Weill Cornell Medical College, New York
| | - S. Baxi
- Department of Medicine, Division of Solid Tumor Oncology
- Weill Cornell Medical College, New York
| | - Y. Janjigian
- Department of Medicine, Division of Solid Tumor Oncology
- Weill Cornell Medical College, New York
| | - W. Tap
- Department of Medicine, Division of Solid Tumor Oncology
- Weill Cornell Medical College, New York
| | - M. Dickler
- Department of Medicine, Division of Solid Tumor Oncology
- Weill Cornell Medical College, New York
| | - J. Baselga
- Department of Medicine, Division of Solid Tumor Oncology
- Weill Cornell Medical College, New York
- Human Oncology and Pathogenesis Program
- Marie-Josée and Henry R. Kravis Center for Molecular Oncology
| | - B. S. Taylor
- Human Oncology and Pathogenesis Program
- Marie-Josée and Henry R. Kravis Center for Molecular Oncology
- Department of Epidemiology and Biostatistics
| | - D. Chakravarty
- Marie-Josée and Henry R. Kravis Center for Molecular Oncology
| | - J. Gao
- Marie-Josée and Henry R. Kravis Center for Molecular Oncology
| | - N. Schultz
- Marie-Josée and Henry R. Kravis Center for Molecular Oncology
- Department of Epidemiology and Biostatistics
| | - D. B. Solit
- Department of Medicine, Division of Solid Tumor Oncology
- Weill Cornell Medical College, New York
- Human Oncology and Pathogenesis Program
- Marie-Josée and Henry R. Kravis Center for Molecular Oncology
| | - M. F. Berger
- Marie-Josée and Henry R. Kravis Center for Molecular Oncology
- Department of Pathology, MSKCC, New York, USA
| | - D. M. Hyman
- Department of Medicine, Division of Solid Tumor Oncology
- Weill Cornell Medical College, New York
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D’Andrea G, Bussone G, Di Fiore P, Perini F, Gucciardi A, Bolner A, Aguggia M, Saracco G, Galloni E, Giordano G, Leon A. Pathogenesis of chronic cluster headache and bouts: role of tryptamine, arginine metabolism and α1-agonists. Neurol Sci 2017; 38:37-43. [DOI: 10.1007/s10072-017-2862-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Bellomi M, Viotti S, Preda L, D’Andrea G, Bonello L, Petralia G. Perfusion CT in solid body-tumours part II. Clinical applications and future development. Radiol Med 2010; 115:858-74. [DOI: 10.1007/s11547-010-0545-9] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2009] [Accepted: 06/23/2009] [Indexed: 01/18/2023]
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Smith CD, Fornier M, Sugarman S, Troso-Sandoval T, Lake D, D’Andrea G, Seidman A, Sklarin N, Norton L, Hudis C. Updated cardiac safety results of dose-dense (DD) doxorubicin and cyclophosphamide (AC) followed by paclitaxel (T) with trastuzumab (H) in HER2/neu overexpressed/amplified breast cancer (BCA). J Clin Oncol 2006. [DOI: 10.1200/jco.2006.24.18_suppl.582] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
582 Background: DD q 2 weekly (w) AC → T is superior to conventionally scheduled (cs) AC → T and safe w/long follow-up (Hudis et al, SABCS 2005). With q 3 wk AC, adjuvant (adj) H is safe and effective (Romond et al and Perez et al, NEJM 2005). We therefore tested DD q 2 w AC → T + H × 1 year (y) as adj treatment (Rx) of patients (pts) with HER2/neu (+) BCA to determine cardiac safety. Based on the reported cardiac event (CE) rate of ≤ 4% in the randomized trials using cs chemotherapy (CRx) + H, we evaluated DD q 2 w AC → T + H with a 1° endpoint of cardiac safety defined as discontinuation (DC) of H due to 1) cardiac death or 2) congestive heart failure (CHF). The 2° endpoint is time to recurrence and overall survival. Methods: Pts with HER2/Neu IHC 3+ or FISH-amplified BCA were enrolled, regardless of tumor size or nodal status. Rx consisted of AC at 60/600 mg/m2 × 4 → T at 175 mg/m2 × 4 q 2 w w/pegfilgrastim 6 mg on d 2 + H × 1 y. Multi-gated radionuclide angiography scan (MUGA) is obtained at baseline and at months (mo) 2 (after AC × 4), 6 (after T × 4), 9, and 18. Pts w/baseline LVEF of ≥ 55% and w/o cardiac illnesses are eligible. Pts w/significant (sig) asymptomatic (asx) LVEF ↓ after DD AC based on mo 2 MUGA did not receive H, and pts w/sig asx LVEF ↓ during H had it DC’d. If the CE rate is > 4%, Rx is deemed not feasible. Results: From January 4, 2005 to November 1, 2005, 70 pts were enrolled. Median (med) age is 49 years (range, 27–72). Forty one of 70 pts (60%) had node (+) BC and 27/70 pts (40%) had (-) nodes. Med baseline LVEF is 68% (range, 55%-81%). As of January 9, 2005, all pts had mo 2 MUGA after DD AC and there is no sig LVEF ↓ and the med LVEF is 67% (range, 58%-79%). To date 39 pts had mo 6 MUGA w/med LVEF of 66% (range, 56%-75%) and one pt had a sig asx LVEF ↓ from baseline of 74% to 56%; H was DC’d. Twenty-three pts had mo 9 MUGA w/a med LVEF of 64% (range, 57%-69%). One patient had clinical CHF at mo 4 w/EF of 45% and improved sig w/cardiac medications. One had pneumonitis during radiation (RT). One had atrial fibrillation w/pericarditis after completion of RT. Discussion: DD AC → T + H appears to have an acceptable cardiac toxicity profile w/1/70 pts having a CE. Updated cardiac safety data will be presented. [Table: see text]
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Affiliation(s)
| | - M. Fornier
- Memorial Sloan-Kettering Cancer Center, New York, NY
| | - S. Sugarman
- Memorial Sloan-Kettering Cancer Center, New York, NY
| | | | - D. Lake
- Memorial Sloan-Kettering Cancer Center, New York, NY
| | - G. D’Andrea
- Memorial Sloan-Kettering Cancer Center, New York, NY
| | - A. Seidman
- Memorial Sloan-Kettering Cancer Center, New York, NY
| | - N. Sklarin
- Memorial Sloan-Kettering Cancer Center, New York, NY
| | - L. Norton
- Memorial Sloan-Kettering Cancer Center, New York, NY
| | - C. Hudis
- Memorial Sloan-Kettering Cancer Center, New York, NY
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Caroli E, Salvati M, Roperto R, D’Andrea G, Ferrante L. High-dose radiation-induced meningioma in children. Case report and critical review of the literature. Neurochirurgie 2006. [DOI: 10.1016/s0028-3770(06)71178-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Fornier MN, Seidman AD, Lake D, D’Andrea G, Bromberg J, Robson M, van Poznak CH, Panageas K, Norton L, Hudis C. Increased dose-density (DD) Is feasible: A pilot study of epirubicin and cyclophosphamide (EC) followed by paclitaxel (T), at 10–11 day interval with filgrastim support, for women with early breast carcinoma (BC). J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.616] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
| | | | - D. Lake
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | - G. D’Andrea
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | - J. Bromberg
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | - M. Robson
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | | | - K. Panageas
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | - L. Norton
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | - C. Hudis
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
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Smith KL, Villanueva J, D’Andrea G, Moynahan ME, Sklarin N, Norton L, Hudis C, Tempst P, Robson M. Serum peptide profiling (SPP) by mass spectrometry (MS) to identify post-menopausal women with metastatic breast cancer. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.9540] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- K. L. Smith
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | | | - G. D’Andrea
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | | | - N. Sklarin
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | - L. Norton
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | - C. Hudis
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | - P. Tempst
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
| | - M. Robson
- Memorial Sloan-Kettering Cancer Ctr, New York, NY
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